公开(公告)号：US09204988B1

公开(公告)日：2015-12-08

申请号：US14468881

申请日：2014-08-26

申请人： Robert E. Fischell

发明人： Robert E. Fischell

IPC分类号： A61F5/08

CPC分类号： A61F5/08

摘要： A nasal strip having a non-adhesive central portion situated between two adhesive end sections of the nasal strip. In one example, a thin plastic covering over the adhesive surface of the central portion of the nasal strip provides advantages of more torque obtained to open the nasal passageways, less discomfort on removal of the nasal strip, easier placement of the nasal strip onto the nose and less area of the skin on the nose that can be irritated by the adhesive interior surface of the nasal strip.

摘要翻译： 鼻带，其具有位于鼻带的两个粘合剂端部之间的非粘性中心部分。 在一个示例中，覆盖在鼻带中心部分的粘合剂表面上的薄塑料提供了获得打开鼻通道的更多扭矩的优点，在去除鼻带时较少的不适，更容易将鼻带放置在鼻子上 并且鼻部皮肤的面积可以被鼻带的粘合剂内表面刺激。

公开(公告)号：US08591495B2

公开(公告)日：2013-11-26

申请号：US13431526

申请日：2012-03-27

申请人： Robert E. Fischell ,  Tim A. Fischell ,  David R. Fischell

发明人： Robert E. Fischell ,  Tim A. Fischell ,  David R. Fischell

IPC分类号： A61M25/00

CPC分类号： A61M25/01 ,  A61M25/0012 ,  A61M25/005 ,  A61M25/0108 ,  A61M25/02 ,  A61M25/0662 ,  A61M39/0606 ,  A61M2025/0266 ,  A61M2025/028 ,  A61M2025/0286 ,  B21C37/042

摘要： A thin-walled introducer sheath is described. In some embodiments, the introducer sheath includes structural support components, such as wires, used in connection with a polymeric inner coating, a polymeric outer coating, or both. Further, in some embodiments, the wire components are annealed to reduce cold-work-related stresses and hardness. Use of annealed components may enable a reduction in the thickness of the polymeric outer coating in some applications.

摘要翻译： 描述了薄壁导引鞘。 在一些实施例中，引入器护套包括与聚合物内涂层，聚合物外涂层或两者结合使用的结构支撑部件，例如导线。 此外，在一些实施例中，将线材部件退火以减少与冷加工有关的应力和硬度。 在一些应用中，退火组分的使用可以使聚合物外涂层的厚度减小。

公开(公告)号：US08483812B2

公开(公告)日：2013-07-09

申请号：US12059146

申请日：2008-03-31

申请人： Robert E. Fischell ,  David R. Fischell ,  Tim A. Fischell ,  Scott J. S. Fischell

发明人： Robert E. Fischell ,  David R. Fischell ,  Tim A. Fischell ,  Scott J. S. Fischell

IPC分类号： A61B5/02 ,  A61N1/365

CPC分类号： A61L27/54 ,  A61L2300/236 ,  A61L2300/254 ,  A61L2300/42

摘要： Disclosed are methods for detecting an acute myocardial infarction (i.e., a heart attack) at the earliest possible time and promptly warning the patient that he should immediately seek medical care. The present invention includes an implantable electronic system that can sense a change in the patient's electrogram that is indicative of a heart attack. If a heart attack is sensed, the device would then cause an implantable and/or externally located alarm to be actuated to warn the patient of his condition and a medical practitioner at a remote diagnostic center would receive the patient's electrogram for analysis. The patient or a caretaker would then be informed to self-inject medication through a subcutaneous, pass-through drug port that can be a separate device or integrated into the implanted device that is designed for the early detection of a heart attack. The methods of the present invention include determining if a human patient is likely to have a heart attack and, if he is, then implanting within that patient a device that can sense when a heart attack occurs and alarm the patient to take appropriate actions if a heart attack does occur.

摘要翻译： 公开了在早期检测急性心肌梗塞（即心脏病发作）的方法，并且及时警告患者他应该立即求医。 本发明包括可以感测指示心脏病发作的患者电描记图变化的可植入电子系统。 如果感测到心脏病发作，则该装置然后将致动可植入和/或外部定位的警报器，以警告患者其状况，并且远程诊断中心的医务人员将接收患者的电描记图以进行分析。 然后将患者或看守者通知皮下，通过的药物口，自动注射药物，该药物口可以是单独的装置，也可以集成到设计用于早期发现心脏病发作的植入装置中。 本发明的方法包括确定人类患者是否可能患有心脏病发作，并且如果他是，则在患者体内植入可以感测发生心脏病发作的装置，并且如果 心脏病发作确实发生。

公开(公告)号：US20090240156A1

公开(公告)日：2009-09-24

申请号：US12437973

申请日：2009-05-08

申请人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

发明人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

IPC分类号： A61B5/0402

CPC分类号： A61B5/02455 ,  A61B5/0031 ,  A61B5/04012 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0468 ,  A61B5/0472 ,  A61B5/746 ,  A61B5/7465 ,  A61B2560/0209

摘要： A system for providing alerts with regard to a patient's heart. An implanted medical device includes a sensor as well as a processor configured to detect a cardiac event. An internal alarm is configured for producing an alarm signal. An internal transceiver acting in cooperation with an external transceiver within an external device is provided. The processor is configured to determine whether the external and internal transceivers are able to communicate with each other and send a command to the internal alarm if there is no communication.

摘要翻译： 用于提供关于患者心脏的警报的系统。 植入式医疗装置包括传感器以及配置成检测心脏事件的处理器。 内部报警被配置为产生报警信号。 提供了与外部设备内的外部收发器协同工作的内部收发器。 处理器被配置为确定外部和内部收发器是否能够彼此通信，并且如果没有通信则将命令发送到内部警报。

公开(公告)号：US07558623B2

公开(公告)日：2009-07-07

申请号：US10853058

申请日：2004-05-26

申请人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

发明人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

IPC分类号： A61B5/0452

CPC分类号： A61B5/0452 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/0456 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/7465 ,  A61B2560/0209 ,  A61N1/3627 ,  A61N1/3702

摘要： Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using different algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means) which are activated after the ST segment of the electrogram exceeds a preset threshold.

摘要翻译： 公开了一种用于检测心脏事件的系统，其包括称为心脏切除器，医生程序员和外部警报系统的植入装置。 该系统旨在提供心脏事件的早期检测，例如由心率增加或运动引起的急性心肌梗死或运动诱发的心肌缺血。 如果检测到心律失常，该系统还可以警告患者不太紧急的警报。 使用不同的算法，心脏检查器可以在发生后五分钟内检测到指示心脏事件的患者电描记图的变化，然后自动向患者发出事件发生。 为了提供此警告，系统包括在心电图的ST段超过预设阈值之后激活的心律师内部的内部报警子系统（内部报警装置）和/或外部报警系统（外部报警装置）。

公开(公告)号：US20090105807A1

公开(公告)日：2009-04-23

申请号：US12286558

申请日：2008-09-30

申请人： Robert E. Fischell ,  David R. Fischell ,  Tim A. Fischell

发明人： Robert E. Fischell ,  David R. Fischell ,  Tim A. Fischell

IPC分类号： A61F2/06

CPC分类号： A61F2/844 ,  A61F2/90 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/825 ,  A61F2002/91533 ,  A61F2002/9155 ,  A61F2210/0019

摘要： A method for implanting a balloon expandable stent at a site within a passageway of a curved coronary article. The stent includes at least two longitudinally spaced apart circumferential rings. At least one longitudinally extending connector extends between adjacent rings. The connector has at least one turn back portion that can expand or contract in length while being passed through a curved passageway. The stent is disposed on a stent delivery catheter having an inflatable balloon. The stent delivery catheter and the stent is delivered through the passageway to the site of implementation with the connector member expanding or contracting in length to facilitate delivery and placement of the stent. The stent is expanded at the site of implantation by inflating the balloon to force the stent radially outward against the wall of the coronary artery.

摘要翻译： 一种用于将球囊可扩张支架植入弯曲冠状动脉制品通道内的部位的方法。 支架包括至少两个纵向间隔开的周向环。 至少一个纵向延伸的连接器在相邻的环之间延伸。 连接器具有至少一个回转部分，其能够在穿过弯曲通道的同时膨胀或收缩。 支架设置在具有可膨胀气囊的支架输送导管上。 支架输送导管和支架通过通道被输送到实现位置，连接器构件的长度膨胀或收缩以便于支架的输送和放置。 通过使气囊膨胀来使支架在植入部位扩张，以使支架径向向外抵靠冠状动脉壁。

公开(公告)号：US07494458B2

公开(公告)日：2009-02-24

申请号：US11974712

申请日：2007-10-15

申请人： Robert E. Fischell ,  David R. Fischell ,  Adrian R. M. Upton

发明人： Robert E. Fischell ,  David R. Fischell ,  Adrian R. M. Upton

IPC分类号： A61N2/04

CPC分类号： A61N2/02

摘要： Disclosed is a system and method for treating headaches. The system employs a self-contained, battery operated, readily portable and easy-to-operate head-mounted magnetic depolarizer to generate a transient or time-varying high-intensity magnetic field into and around the user's head or neck. The magnetic depolarizer system can be used to depolarize the neurons of the brain and/or the trigeminal nerve. This type of neuronal depolarization has the capability for terminating migraine or other types of headaches.

摘要翻译： 公开了一种治疗头痛的系统和方法。 该系统采用独立的电池供电，易于携带和易于操作的头戴磁性去极化器，以在用户的​​头部或颈部内和周围产生瞬时或时变的高强度磁场。 磁去极化系统可用于去极化脑和/或三叉神经的神经元。 这种类型的神经元去极化具有终止偏头痛或其他类型头痛的能力。

公开(公告)号：US20080290097A1

公开(公告)日：2008-11-27

申请号：US11805299

申请日：2007-05-24

申请人： Robert E. Fischell ,  Daniel Heifetz

发明人： Robert E. Fischell ,  Daniel Heifetz

IPC分类号： A47G19/02

CPC分类号： A47G19/02

摘要： The present invention is a uniquely shaped divided bowl that has two separated sections: 1) a cereal section, and 2) a milk and fruit section. These sections are approximately the same size. The consumer places the dry cereal into the cereal section and then places milk and fruit into the milk and fruit section. It should be understood that the consumer might chose to have only milk in the milk and fruit section. An important feature of the design of the milk and fruit section is a groove at its bottom surface into which the last of the milk and fruit goes so that the last bites can be consumed without titling the bowl.

摘要翻译： 本发明是一种独特形状的分开的碗，其具有两个分开的部分：1）谷物部分，和2）牛奶和水果部分。 这些部分的大小大致相同。 消费者将干燥谷物放入谷物部分，然后将牛奶和水果放入牛奶和水果部分。 应该理解，消费者可能选择在牛奶和水果部分只有牛奶。 牛奶和水果部分的设计的一个重要特征是在其底部表面上的凹槽，最后的牛奶和水果进入该凹槽，使得最后的叮咬可以被消耗而不需要压头碗。

公开(公告)号：US20080058637A1

公开(公告)日：2008-03-06

申请号：US11502960

申请日：2006-08-14

申请人： Robert E. Fischell ,  David J. Mullen

发明人： Robert E. Fischell ,  David J. Mullen

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B90/39 ,  A61B2090/3908 ,  A61B2090/3954 ,  A61B2090/3987

摘要： Disclosed is a system for placing an elongated permanent magnet into a volume of tissue within a human body that is suspected of being cancerous. The magnet's position is then detected by a magnet locating system that is used by a surgeon to find and remove the suspected tissue volume including a margin of tissue to assure that any and all cancer cells have been excised. The magnet locating system includes a wireless probe that sends a signal to a range indication device that indicates the range from the end of the probe to the magnet implanted in the human body. This indication of distance to the magnet is preferably accomplished by an audio signal or a visual display.

摘要翻译： 公开了一种用于将细长永久磁体放置在怀疑是癌症的人体内的组织体积中的系统。 然后由磁性定位系统检测磁体的位置，磁体定位系统由外科医生使用以找到并移除包括组织边缘的可疑组织体积，以确保任何和所有癌细胞已被切除。 磁体定位系统包括一个无线探针，它将一个信号发送到一个范围指示装置，该指示装置指示从探针末端到植入人体的磁体的范围。 对磁体的距离的这种指示优选地通过音频信号或视觉显示来完成。

公开(公告)号：US06783522B2

公开(公告)日：2004-08-31

申请号：US10236186

申请日：2002-09-09

申请人： Robert E. Fischell

发明人： Robert E. Fischell

IPC分类号： A61M2516

CPC分类号： A61M25/0075

摘要： Disclosed is a check valve for placement near the distal end of a catheter. A continuously smooth outer surface for the catheter with check valve system assures that there is no propensity for a blood clot to form in cracks on the system's outer surface. The check valve is a formed from a low durometer, highly elastic, elastomer cylindrical tube that is shrunk into a cylindrical groove that would typically be located near the catheter's distal end. When pressurized fluid is injected through the catheter, the cylinder that is placed over one or more holes in the cylindrical groove in the catheter is forced to expand radially outward which allows the fluid to be injected into the blood vessel. When the pressure is removed, the elastomer tube retracts to its normal position which position tightly covers the holes thereby preventing any blood from entering the catheter.

摘要翻译： 公开了一种用于放置在导管远端附近的止回阀。 具有止回阀系统的导管的连续光滑的外表面确保在系统外表面的裂缝中不存在形成血块的倾向。 止回阀由低硬度，高弹性的弹性体圆柱形管形成，其收缩成通常位于导管远端附近的圆柱形凹槽中。 当通过导管注入加压流体时，放置在导管中的圆柱形凹槽中的一个或多个孔上的圆筒被迫径向向外扩张，这允许流体注入血管。 当去除压力时，弹性体管缩回其正常位置，该位置紧密地覆盖孔，从而防止任何血液进入导管。